Provider Demographics
NPI:1679804835
Name:ERMD EMERGENCY ROOM MEDICAL DOCTORS INC
Entity type:Organization
Organization Name:ERMD EMERGENCY ROOM MEDICAL DOCTORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VENUS
Authorized Official - Middle Name:
Authorized Official - Last Name:DE FERIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-229-3848
Mailing Address - Street 1:PO BOX 650308
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33265-0308
Mailing Address - Country:US
Mailing Address - Phone:305-229-3848
Mailing Address - Fax:305-220-4578
Practice Address - Street 1:10621 N KENDALL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-8708
Practice Address - Country:US
Practice Address - Phone:305-229-3848
Practice Address - Fax:305-220-4578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0064467173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty